Evidence map›Paper›PMID 30401964›Full record

Trial reportBone marrow transplantation2019

Non-invasive diagnosis of acute intestinal graft-versus-host disease by a new scoring system using ultrasound morphology, compound elastography, and contrast-enhanced ultrasound.

Daniela Weber, Markus Weber, Katrin Hippe, Sakhila Ghimire, Daniel Wolff, Joachim Hahn, Matthias Evert, Wolfgang Herr, Ernst Holler, Ernst-Michael Jung

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Bone marrow transplantation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.1field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Daniela WeberDepartment of Hematology and Oncology, Internal Medicine III, University Medical Center- Regensburg, Regensburg, Germany. daniela.weber@ukr.de.
Markus WeberDepartment of Orthopedic Surgery, University Medical Center-Regensburg, Regensburg, Germany.
Katrin HippeDepartment of Pathology, University Medical Center-Regensburg, Regensburg, Germany.
Sakhila GhimireDepartment of Hematology and Oncology, Internal Medicine III, University Medical Center- Regensburg, Regensburg, Germany.
Daniel WolffDepartment of Hematology and Oncology, Internal Medicine III, University Medical Center- Regensburg, Regensburg, Germany.
Joachim HahnDepartment of Hematology and Oncology, Internal Medicine III, University Medical Center- Regensburg, Regensburg, Germany.
Matthias EvertDepartment of Pathology, University Medical Center-Regensburg, Regensburg, Germany.
Wolfgang HerrDepartment of Hematology and Oncology, Internal Medicine III, University Medical Center- Regensburg, Regensburg, Germany.
Ernst HollerDepartment of Hematology and Oncology, Internal Medicine III, University Medical Center- Regensburg, Regensburg, Germany.
Ernst-Michael JungDepartment of Radiology, University Medical Center-Regensburg, Regensburg, Germany.
University Hospital Regensburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute gastrointestinal (GI) graft-versus-host disease (GvHD) is a life-threating complication in patients after allogeneic stem cell transplantation (ASCT). In 60 sonographic analyses, a novel scoring system for non-invasive diagnosis of severe GI GvHD was developed. The score comprised morphological and vascular changes using B-mode and color-coded Doppler sonography, changes of mural stiffness using compound elastography, and dynamic microvascularisation using contrast-enhanced ultrasound (CEUS). Furthermore, inflammatory parameters such as CRP, Calprotectin, and regenerating islet-derived protein 3α (Reg3α) were obtained. ROC curve analysis of our novel GvHD sum score revealed an area under the curve of 1.0 (95% CI: 0.99-1.00) in diagnosing GI GvHD and 0.88 (95% CI: 0.79-0.96) for severe GI GvHD. A sum score above 5 correlated with GI GvHD with a sensitivity of 97.6% (41/42) and a specificity of 94.4% (17/18) and score values above 10 with severe GI GvHD with a sensitivity of 91.7% (11/12) and specificity of 79.2% (38/48). The additional use of inflammatory parameters did not improve the predictive power. CEUS is a promising, non-invasive tool for the diagnosis of acute GI GvHD. Together with further descriptive parameters for inflammatory processes, it gains significant diagnostic accuracy in identifying patients with severe stages of acute intestinal GvHD.

Indexed as

Echocardiography, Doppler, ColorElasticity Imaging TechniquesGraft vs Host DiseaseIntestinal DiseasesSeverity of Illness IndexAcute DiseaseAdultAgedContrast MediaFemaleHumansLeukocyte L1 Antigen ComplexMaleMiddle AgedPancreatitis-Associated ProteinsContrast MediaLeukocyte L1 Antigen ComplexPancreatitis-Associated ProteinsREG3A protein, human

Identifiers

PMID30401964
OpenAlexW2900171870

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.